PACIO Transitions of Care Implementation Guide
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: Hemiparesis Diagnosis - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Condition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "BSJ-HemiparesisDiagnosis"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"BSJ-HemiparesisDiagnosis\"> </a><a name=\"hcBSJ-HemiparesisDiagnosis\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceCondition &quot;BSJ-HemiparesisDiagnosis&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-encounter-diagnosis.html\">US Core Condition Encounter Diagnosis Profile</a></p></div><p><b>Condition Asserted Date</b>: 2024-04-18 13:30:00-0400</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Power of muscles on one side of the body <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ICF.html\">International Classification of Functioning, Disability and Health</a>#b7302)</span>, Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/core/STU6.1/CodeSystem-condition-category.html\">US Core Condition Category Extension Codes</a>#encounter-diagnosis)</span>, Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Right hemiparesis (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#278286009)</span></p><p><b>bodySite</b>: Right upper arm structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#368209003)</span></p><p><b>subject</b>: <a href=\"Patient-Example-Smith-Johnson-Patient1.html\">Patient/Example-Smith-Johnson-Patient1</a> &quot; SMITH-JOHNSON&quot;</p><p><b>onset</b>: 2024-04-17 15:40:00-0400</p><p><b>recordedDate</b>: 2024-04-18 13:30:00-0400</p><p><b>asserter</b>: <a href=\"PractitionerRole-Role-Neuro-NuraMekel.html\">PractitionerRole/Role-Neuro-NuraMekel</a></p><p><b>note</b>: Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports &quot;tingling&quot; in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.</p></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2024-04-18T13:30:00-04:00"^^xsd:dateTime ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/icf"^^xsd:anyURI ] ;
fhir:code [ fhir:v "b7302" ] ;
fhir:display [ fhir:v "Power of muscles on one side of the body" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/condition-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "encounter-diagnosis" ] ;
fhir:display [ fhir:v "Encounter Diagnosis" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "encounter-diagnosis" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a sct:278286009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "278286009" ] ;
fhir:display [ fhir:v "Right hemiparesis (disorder)" ]     ] )
  ] ; # 
  fhir:bodySite ( [
    ( fhir:coding [
a sct:368209003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "368209003" ] ;
fhir:display [ fhir:v "Right upper arm structure (body structure)" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Example-Smith-Johnson-Patient1" ]
  ] ; # 
  fhir:onset [ fhir:v "2024-04-17T15:40:00-04:00"^^xsd:dateTime] ; # 
  fhir:recordedDate [ fhir:v "2024-04-18T13:30:00-04:00"^^xsd:dateTime] ; # 
  fhir:asserter [
fhir:reference [ fhir:v "PractitionerRole/Role-Neuro-NuraMekel" ]
  ] ; # 
  fhir:note ( [
fhir:text [ fhir:v "Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports \"tingling\" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA." ]
  ] ) . #